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A Comparison of Intramedullary and Juxtacortical Low-grade Osteogenic Sarcoma

  • Symposium: Selected Papers Presented at the 2007 Meeting of the Musculoskeletal Tumor Society
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Clinical Orthopaedics and Related Research

Abstract

While low-grade juxtacortical and low-grade intramedullary osteogenic sarcomas are histologically indistinguishable, they have been studied as separate entities. We retrospectively reviewed the clinical, radiographic, histologic features and treatment of 59 patients treated surgically to compare the rate of local recurrence, grade progression, and survival between low-grade intramedullary and low-grade juxtacortical osteogenic sarcoma. Forty-five (76%) patients were treated for low-grade juxtacortical osteogenic sarcoma and 14 (24%) were treated for low-grade intramedullary osteogenic sarcoma. Local recurrence rates of 7% were similar for both groups studied. The rate of distant metastases was also similar for both groups. . The rate of dedifferentiation for the entire group was 29%. Dedifferentiated lesions were treated with adjuvant chemotherapy in 16 of 17 cases. Recurrence preceded dedifferentiation in four cases. Five-year survival was over 90% in both groups. Low-grade intramedullary and low-grade juxtacortical osteogenic sarcoma were clinically indistinguishable with identical rates of local recurrence, distant metastases, dedifferentiation, and survival.

Level of Evidence: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Authors and Affiliations

  1. Department of Surgery/Section of Orthopedics, Memorial Sloan Kettering Cancer, Weill Cornell Medical School, 1275 York Avenue, New York, NY, 10021, USA

    Joseph H. Schwab MD, Edward A. Athanasian MD, Patrick J. Boland MD, John H. Healey MD & Carol D. Morris MD, MS

  2. Department of Pathology, Memorial Sloan Kettering Cancer, Weill Cornell Medical School, New York, NY, USA

    Cristina R. Antonescu MD

Authors
  1. Joseph H. Schwab MD
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  2. Cristina R. Antonescu MD
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  3. Edward A. Athanasian MD
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  4. Patrick J. Boland MD
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  5. John H. Healey MD
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  6. Carol D. Morris MD, MS
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Corresponding author

Correspondence to Carol D. Morris MD, MS.

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Each author certifies that he or she has no commercial associations that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution either has waived or does not require approval for the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

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Schwab, J.H., Antonescu, C.R., Athanasian, E.A. et al. A Comparison of Intramedullary and Juxtacortical Low-grade Osteogenic Sarcoma. Clin Orthop Relat Res 466, 1318–1322 (2008). https://doi.org/10.1007/s11999-008-0251-2

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  • DOI: https://doi.org/10.1007/s11999-008-0251-2

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